Simanowski J H, Grotz M, Kauffels W
Klinik für THG-Chirurgie, Medizinische Hochschule Hannover.
Zentralbl Chir. 2000;125(11):904-6. doi: 10.1055/s-2000-10680.
A spontaneous transvaginal evisceration is a rare clinical event. The case of a 61-year-old woman is described. It is often associated with previous vaginal surgery as well as postmenopausal hypoestrogenism and therefore atrophy of the vaginal vault. The primary treatment is characterized by laparotomy and reposition of the prolapsed bowel. After assessing the viability resection of compromised segments is indicated. However, the main surgical problem is the prophylaxis of recurrence. Beside the repair of the vaginal disruption a colpocleisis, colpectomy, sacropexia or obliteration of the Douglas cavity is necessary.
自发性经阴道脏器脱出是一种罕见的临床事件。本文描述了一名61岁女性的病例。它常与既往阴道手术以及绝经后雌激素缺乏导致的阴道穹窿萎缩有关。主要治疗方法为剖腹手术及脱垂肠管复位。评估肠管活力后，需对受损节段进行切除。然而，主要的手术问题是预防复发。除了修复阴道裂伤外，还需要进行阴道闭合术、阴道切除术、骶骨固定术或Douglas腔闭塞术。
